Student Name__________________________
Clinical Instructor___________________________________
PSYCHOACTIVE MEDICATION CLASSIFICATION: __Selective Seratonin Reuptake Inhibitors___________________________________ Uses in Mental Health | | Therapeutic Actions Expected to be Observed | Should relieve symptoms of major depressive disorder such as ability to once again find pleasure in relationships and daily activities, relief from hypersomnia or insomnia related to depression, restoration of appetite, lessened or relief from thoughts of suicide, and restored sex drive. Are sometimes prescribed to relieve some types of OCD or anxiety. | Common Side Effects of this Classification | Black Box Warning for increased suicidal thoughts and/or suicide. Common side effects include GI upset including nausea, vomiting and diarrhea. Also included are tinnitus, insomnia or sleep pattern changes, weight loss and/or gain typically variable within 7 pounds, fatigue and urinary retention. Can cause arrhythmias or EKG changes. One of the main adverse effects of SSRI’s that often affects adherence is the loss of sexual drive seen on the medications. | Nursing Interventions | Close and careful monitoring for suicidal thoughts or thoughts of hurting oneself or others is important to monitor as suicidal thoughts are a common side effect. Monitor for serotonin syndrome- excess serotonin and classified by hyperthermia, hypertension, rigidity, delirium, coma and myoclonus. | Patient/Family Teaching | Its extremely important that you notifty the patient before hand as well as family members (with consent) to notify their healthcare provider if the patient displays any signs of suicidal tendencies. It is good to teach patients that their medication may take up to 2-3 weeks to take full effect and to not discontinue their medications during this time because of lack of results. Similarly, while they are taking the medication they